Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . Fig. 872.—Cutting Curet for the Removal of Adenoids from the Nasopharynx. More important than the agent employed is the employer. None but a skilledanesthetist, should be intrusted with this responsibility, as these children areusually of depleted vitality, with deranged respiratory organs, and theanesthetic has to be discontinued and resumed at the convenience of theoperator. The child should be anesthetized in the recumbent position. The best position for operat
Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . Fig. 872.—Cutting Curet for the Removal of Adenoids from the Nasopharynx. More important than the agent employed is the employer. None but a skilledanesthetist, should be intrusted with this responsibility, as these children areusually of depleted vitality, with deranged respiratory organs, and theanesthetic has to be discontinued and resumed at the convenience of theoperator. The child should be anesthetized in the recumbent position. The best position for operating is with the head low in order that bloodshall not run into the larynx and esophagus. This position is secured byplacing a small sand pillow behind the shoulders or better still by an exag-gerated lowered head position. If the head becomes congested and theveins dilated, the head may be elevated for a few minutes until the circula-tion becomes Fig. 873.—Adenotome. This instrument has a flexible cutting blade which slides at the floor of the instrument and closes it. The amputated tissues find themselves enclosed in a box. Some surgeons prefer to operate with the patient in the sitting friend Thomas R. French, brought this method to a high state ofperfection. He invented a chair in which the patient is strapped as soon asthe anesthesia is established. The chair is so arranged that it may be tiltedbackward at any moment and the recumbent position secured. Operatingwith the patient erect is accompanied by decidedly less bleeding, less anes-thetic is required, there is less congestion of the vessels of the head, and theblood runs forward out of the mouth and nose. The surgeon should use themethod to which he and the patient are best adapted. Special instruments are required. The adenoid curet (Fig. 872) and theadenotome (Fig. 873) are used. The mouth gag (Fig. 874) should be so con-structed and applied as not to i
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectsurgery, bookyear1920
